James Daniel Hendrick, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09401 Issued in LA

Practice address

16158 Airline Hwy Ste 103
Prairieville, LA 70769-4212

Phone

(225) 963-9355

NPI assigned

Jun 22, 2017

Last updated

Nov 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ascension Emergency Physicians, LLCGroup PAC ID 9739320029, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Emergency Physicians LLC

  • Emergency Medicine Physician
  • Gonzales, LA
  • NPI 1699118505

  Single Specialty

  Medicare reassignment Care Compare group NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059

  Single Specialty

  Medicare reassignment NPD
• Thibodaux Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Thibodaux, LA
  • NPI 1568910503

  Single Specialty

  Medicare reassignment NPD
• Neighborhood Health Primary Care, LLC

  dba Neighborhood Health

  • Primary Care Clinic/Center
  • Prairieville, LA
  • NPI 1568825925

  Single Specialty

  NPD
• Neighborhood Health, LLC

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1841804606
  NPD
• R.T. Royal Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1255705828

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1740700434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 MONTE VISTA DR",
            "city": "ADDIS",
            "state": "LA",
            "postal_code": "707103008",
            "telephone_number": "225-603-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16158 AIRLINE HWY STE 103",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694212",
            "telephone_number": "225-963-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 W Highway 30",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375004",
            "country_code": "US",
            "telephone_number": "225-647-5012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICK",
        "first_name": "JAMES",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE NURSE NUMBER",
            "identifier": "AP09401",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destiny A Hawkins
• Taylor Denise Haydel
• Heal-Mind Body Soul, LLC
• Healing and Releasing Trauma, LLC
• Health Quest Physical Therapy-Prairieville Clinic, LLC
• Joseph Heneghan, MD
• Abigail Hicks, DPT
• Higher Learning, LLC (Club Z In-Home Tutoring Services)
• Bunnie Hill, M.D.
• Chasity Hill, LPC

• Family Nurse Practitioner in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.